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General NPI Number Information
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NPI Number | 1245176684
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Entity Type | Individual
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Provider Name | JENNIFER FAGLIER DPT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1918 E FRONT ST
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City | TYLER
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State | TX
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Zip | 75702-8511
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Country | US
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Telephone | 903-609-1609
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-1111
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Country | US
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Telephone | 540-512-1457
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305208846
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License Number State | VA
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